Final answer:
Operative indications for an extraarticular scapula fracture include situations where the fracture is unstable or there is significant disruption of shoulder function, necessitating the use of hardware like plates and screws for stabilization and proper healing.
Step-by-step explanation:
The operative indications for an extraarticular scapula fracture largely depend on the stability of the fracture and the impact it has on the shoulder's function. When the fracture is unstable and the broken parts of the bone do not stay in their proper anatomical position, surgery may be necessary. In such cases, hardware like metal plates and screws might be utilized to stabilize the bone, ensuring proper healing and the return of normal function.
Surgery to repair scapula fractures is also considered if there is an associated decline in shoulder function, or if there's a high risk of complications such as early onset arthritis due to uneven joint surfaces. The decision for surgery involves a consideration of several factors including displacement, the involvement of adjacent joints or nerves, and the overall health of the patient.
Furthermore, conditions such as adhesive capsulitis ('frozen shoulder'), which can result from trauma or inflammation, would be an indirect aspect influencing the treatment strategy for a scapular fracture, aiming to prevent such complications through appropriate mobilization and stable fixation of the fracture.